CMS Price Transparency Data

Hospital observation (per hour)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $100
Cash Discount Price: $131
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Univ. of Vermont - Fletcher Allen Health Care is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$26 - $129	N/A
Blue Cross Blue Shield	$37 - $109	N/A
Humana	$37	N/A
Mvp	$58	N/A
Aetna	$60	N/A
Capital District Physicians' Health Plan	$66 - $98	N/A
Veterans Affairs Community Care Network	$70	N/A
Wellpath	$72	N/A
Harvard Pilgrim	$105	N/A
Magnacare	$105	N/A
Coventry	$111	N/A
Ebpa	$113	N/A
Cigna	$118 - $128	N/A
Nppn	$118	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $131.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Univ. of Vermont - Fletcher Allen Health Care is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.